Course Catalogue Year 2009-2010 8/18/2010 THIRD YEAR INTAKE 2008 ACADEMIC YEAR 2010/11 62 Course Catalogue Year 2009-2010 UNITCODE: PHR 3106* 8/18/2010 UNIT TITLE: PHARMACY PRACTICE III TYPE Lectures, seminars, practicals and tutorials, placement NUMBER OF ECTS CREDITS: 12 LEARNING OBJECTIVES To provide students with examples of knowledge required to practice disease management. To reinforce amongst students an awareness that they are to become members of a prestigious profession and to develop further within them a professional attitude, a sense of responsibility and a comprehensive knowledge of the requirements for an efficient and accurate pharmaceutical service. Opportunities are given for the students to interact with patients, to assess and identify a problem and to give advice to patients. Practical experience in community pharmacy and in practical settings of pharmacy. CONTENT Designing and Recommending a Pharmacist’s Care Plan Pharmacist Prescribing Quality Standards in pharmacy practice Cardiovascular Disorders: Testing for Cardiovascular Disorders, Hypertension, Hyperlipidemia, Congestive Heart Failure, Ischaemic Heart Disease, Thrombosis Dispensing Drugs acting on the Autonomic Nervous System: Cholinergic Drugs & Cholinergic Blocking agents Adrenergic and Adrenergic Blocking agents Skin Disorders: Allergy and drug-induced skin disease Acne and Psoriasis Histamine and Antihistamine drugs Dementia and Alzheimer’s Disease Psychiatric Disorders: Schizophrenia, Mood disorders, Anxiety disorders, Sleep disorders, Obesity and Eating disorders Obstetrics, Gynaecology and Genito-urinary Disorders: Hormone Replacement Therapy, Menstrual disorders, Contraception and infertility problems, Drugs for genito-urinary disorders Infectious diseases: HIV, Hepatitis Medication Errors Pharmacy Practice Research: Observational Methods, Surveys, Questionnaire construction Qualitative research, Secondary data analysis, Data preparation, Statistical methods, Practical experience in a community pharmacy and practical attachment Participation at the yearly symposium. ASSESSMENT Assessment is aimed to evaluate students’ knowledge and understanding of topics that form the core of knowledge required for effective professional practice. Written test (Duration of 2 hours) 95% 14 compulsory short questions (5 marks each) 3 questions (10 marks each) No marks will be allocated to partially correct answers. Held at the end of the second semester. Log Book 5%. The marks obtained from all practical sessions presented will be considered for the assessment. + 63 Course Catalogue Year 2009-2010 8/18/2010 RESULT Percentage mark and grade LECTURERS/DEMONSTRATORS Lilian M. Azzopardi (Co-ordinator) Michael Calleja Conrad Buttigieg Scicluna Louise Azzopardi Anthony Serracino Inglott Daniel Calleja Clifton Curmi Alison Anastasi GENERAL BIBLIOGRAPHY FOR PHARMACY PRACTICE MODULE Azzopardi L (ed). Lecture notes in pharmacy practice. 2009. London: Pharmaceutical Press The British National Formulary. Pharmaceutical Press: London. latest edn. Medical Dictionary Martindale, W. The Extra Pharmacopoeia,. Pharmaceutical Press: UK ASHP. Medication Teaching Manual: The Guide to Patient Information. Bethesda: ASHP. latest edn British Medical Association and Royal Pharmaceutical Society of Great Britain. British National Formulary. London, recent edn. Monthly Index of Medical Specialties (MIMS) Haymarket Medical Ltd: London (latest edn) Royal Pharmaceutical Society of Great Britain. Medicines, ethics and practice - a guide for pharmacists. RPSGB: London. latest ed. Code of Ethics, Pharmacy Board, Malta. ABPI: Data Sheet Compendium, Walker G. Datapharm Publication: UK (latest ed.) READING LIST Randall MD, Neil KE. Disease management: A Guide to Clinical Pharmacology. 2009. London: Pharmaceutical Press. Walker, R, Whittlesea C. Clinical pharmacy and therapeutics. 2007. Edinburgh: Churchill Livingstone. Greene, RJ, Harris, N. Pathology and therapeutics for pharmacists. A Basis for Clinical Pharmacy Practice. 2008. London: Pharmaceutical Press. Wright J, Gray A. Clinical Pharmacy Pocket companion. 2006 London: Pharmaceutical Press. Shankie S. Hypertension in focus. 2001.London: Pharmaceutical Press. Cipolle, RJ, Strand, LM, Morley PC. Pharmaceutical care practice. 1998. USA: McGrawHill. Azzopardi, L. Validation instruments for community pharmacy: Pharmaceutical care for the third millennium. 2000. Birminghamton, USA: Pharmaceutical Products Press. McKay, AB, Hepler, CD, Knapp, DA. How to evaluate progressive pharmaceutical services. 1987. Bethesda: ASHP. Brown, TR. ed. Handbook of institutional pharmacy practice. 1992. Bethesda: ASHP. Sexton J, Nickless G, Green C. Pharmaceutical care made easy: Essentials of Medicines Management in the Individual Patient. 2006. London: Pharmaceutical Press. Taylor D. Schizophrenia in Focus. 2006. London: Pharmaceutical Press. Koda-Kimble M.A, Young LY, Kradjan WA. Handbook of Applied Therapeutics. 2006. USA: Lippincott Williams & Wilkins + Refer to Guidelines for Community Pharmacy Practice * Pre-requisites: PHR 1101 and PHR 2103. 64 Course Catalogue Year 2009-2010 UNITCODE: PHR 3108 8/18/2010 PHARMACOTHERAPEUTICS UNIT TITLE: TYPE Lectures, practicals and seminars NUMBER OF ECTS CREDITS: 4 LEARNING OBJECTIVES To provide information on the aetiology, clinical signs and symptoms, investigations and principles of treatment of diseases important to pharmacists in their development of a patient-oriented practice. Particular emphasis is given to the selection of appropriate drug treatment regimens, a balance of benefits to risks for patients under treatment and patient monitoring. Problem solving is carried out using case studies. To enable the student to extract relevant information from clinical case notes and to identify and discuss pharmaceutical care issues. CONTENT Clinical investigations: Renal function tests, liver function tests, blood tests Serum electrolytes, acid base balance, cardiac enzymes, electrocardiograms Therapeutic principles of selected disease states: Respiratory disorders: asthma, chronic obstructive airways disease Cardiovascular disorders: hypertension, angina, myocardial infarction, cardiac failure, atrial fibrillation, stroke GI disorders: peptic ulceration, Crohn’s disease, ulcerative colitis Clinical case studies on the ward: Understanding case notes, medical terminology, medical abbreviations, patient profiling, case presentation format Familiarization with clinical case notes of a selected patient and compilation of patient profile Interaction with multidisciplinary health care team and patients during ward round Oral presentation of clinical case study ASSESSMENT Written test of 2 hours: Case presentation 80% 20% RESULT Percentage mark and grade LECTURERS/DEMONSTRATORS Lilian M. Azzopardi (Co-ordinator) Marise Gauci Aaron Camilleri Simone Caruana Ian Mifsud Angelo Psaila Anthony Serracino Inglott Lilian Wismayer Kristen Buhagiar Roberta Messina Emma Manduca Elaine Vella READING LIST Walker R, Whittlesea C. Clinical pharmacy and therapeutics. 2007. Edinburgh : Churchill Livingstone Greene RJ, Harris N. Pathology and therapeutics for pharmacists. 2008. London : Pharmaceutical Press. 65 Course Catalogue Year 2009-2010 8/18/2010 Young LY, Koda-Kimble MA. Handbook of applied therapeutics. Lippincott Williams & Wilkins. Dodds L. Drugs in use. 2003. London: The Pharmaceutical Press. Koda-Kimble M.A, Young LY, Kradjan WA. Handbook of Applied Therapeutics. 2006. USA: Lippincott Williams & Wilkins 66 Course Catalogue Year 2009-2010 UNIIT CODE: PHR 3115* 8/18/2010 PHARMACY PRACTICE PROJECT II UNIT TITLE: TYPE Project NUMBER OF ECTS CREDITS: 6 LEARNING OBJECTIVES This unit introduces the student to research methodology, applying the knowledge from previous units with special reference to planning, selection of data and following a protocol CONTENT Protocol feasibility, discussion and approval Starting of field work ASSESSMENT Protocol Poster presentation Participation at project presentations 50% 30% 20% RESULT Percentage mark and grade LECTURERS Anthony Serracino Inglott (Co-ordinator) Lilian M. Azzopardi Claire Shoemake Maurice Zarb Adami READING LIST Stuart MC. The complete guide to medical writing. 2007 London: Pharmaceutical Press. Frankfort-Nachmias C., Nachmias D. ed. Research Methods in the Social Sciences. London: Edward Arnold. 1992. Pink, A. The Survey Kit. Thousand Oaks: Sage Publications. 1995. Knapp, T.R. Qantitative Nursing Research, Thousand Oaks: Sage Publications. 1995. Patton, M.Q. Qualitative evaluation and research methods. Thousand Oaks: Sage Publications. 1990. Smith F. Research methods in pharmacy practice. 2002. London: Pharmaceutical Press. Jones DS. Pharmaceutical statistics. 2002. London: Pharmaceutical Press. Smith F. J. Conducting your Pharmacy Practice Research Project. 2005. London: Pharmaceutical Press. Smith F, Francis SA, Schafheutle E. International Research in Health Care. 2008. London: Pharmaceutical Press. Durham TA, Turner JR. Introduction to Statistics in Pharmaceutical Clinical Trials. 2008. London: Pharmaceutical Press. * Pre-requisite: PHR 2018. 67 Course Catalogue Year 2009-2010 UNITCODE: PHR 3205* 8/18/2010 UNIT TITLE: PHARMACEUTICAL ANALYSIS AND MEDICINAL CHEMISTRY II TYPE Lectures and seminars NUMBER OF ECTS CREDITS: 6 LEARNING OBJECTIVES To review legislative aspects behind the running of analytical laboratories. To introduce further principles applied to drug design in various drug classes. CONTENT This Unit will deal with the Medicinal Chemistry (including the Structure – Activity relationships (SAR) of: Tricyclic and related psychotherapeutic drugs; atypical antipsychotics; pro-drug approach to depot antipsychotics. Monoamine Oxidase Inhibitors (MAOIs) and reversible MAOIs; Selective Serotonin reuptake inhibitors (SSRIs) and other antidepressants. Benzodiazepines and the first benzodiazepine competitive antagonist. Buspirone, zolpidem. Antibacterial drugs including tetracyclines, aminoglycosides, macrolides, sulphonamides, quinolones Drugs acting on the cardiovascular system Drugs acting on the endocrine system Steroids including cutaneous applications Practical Aspects of in-silico drug danger ASSESSMENT Written test of 3 hours: Assignment: 95% 5% RESULT Percentage mark and grade LECTURERS Claire Shoemake (Co-ordinator) Mary Ann Sant-Fournier READING LIST WILLIG SH. Good Manufacturing Practices for Pharmaceuticals - a plan for total quality control, 3rd edn. Stoker, ed. Marcel Dekker Inc., Switzerland, ISBN 0-8247-8594-0 BRYANT R. The Pharmaceutical Quality Control Handbook, 1989. Aster Publications Corp., USA GOLDBERGER F. Pharmaceutical Manufacturing, Quality Management in the Industry. The Pharmaceutical Press, London Publications of the Pharmaceutical Inspection Convention (PIC). EFTA, Switzerland Publications of the Commission of the European Communities. Luxembourg AKERS MJ. Parenteral Quality Control: Sterility, Pyrogen, Particulate and Package Integrity Testing. Marcel Dekker Inc., New York, ISBN 0-8247-9088-X BECKETT AH, STENLAKE JB. Practical Pharmaceutical Chemistry, Part I & II, 4th edn. Humanities Press International, Inc., ISBN 0-485-11323-6 68 Course Catalogue Year 2009-2010 8/18/2010 11th edn. The Pharmaceutical Press 1979, ISBN 0-85369-129-0 LEMKE TL. Review of organic Functional Groups: Introduction to Medicinal Organic Chemistry, 3rd edn. Williams & Wilkins 1991, ISBN 0-8121-1428-0 FOYE WO. Principles of Medicinal Chemistry, 3rd edn. Williams & Wilkins 1988, ISBN 0-8121-1098-6 SMITH HJ AND WILLIAMS H. Eds. Introduction to the Principles of Drug Design, Wright PSG Boston, 1983. ADRIEN ALBERT, Selective Toxicity: The Physico-chemical basis of Therapy 6th Edn Chapman & Hall (1979) ISBN 0-412-1555650-4 SOUIDIJN W. The Role of Medicinal Chemistry in Drug Research, Pharmaceutische Weekblad, Scientific Edition 1991; 13(4): 161-6 Burger’s Medicinal Chemistry & Drug Discovery Part I-III, 3rd edn., Wolff ed. John Wiley and Sons, ISBN 0-471-57556-9 * Pre-requisites: PHR 2203 and PHR 2026. 69 Course Catalogue Year 2009-2010 UNIT CODE: PHR 3307* 8/18/2010 UNIT TITLE: PHARMACEUTICAL FORMULATIONS TYPE Lectures and practicals NUMBER OF ECTS CREDITS: 4 LEARNING OBJECTIVES To expose the student to the various aspects which have to be considered when formulating preparations for use as medicines, how these aspects of formulation are influenced by the proposed route of administration, as well as how these same aspects effect the therapeutic profile of the drugs in use. To expose the student to the hands on application of principles of pharmaceutical formulation. To consider special features of controlled release dosage forms and factors influencing their formulation. CONTENT Sterilised products Total parenteral nutrition Sterilisation processes and methods Controlled release dosage forms Relevant calculations Demonstration of hands-on application of principles underlying bulk properties of powders, dry granulation and angle of repose, flow factor, grinding and sieving, microscopical methods and the Andreason pipette method to determine particle size. ASSESSMENT Written test of 1.5 hours Practicals 75 % 25 % RESULT Percentage mark and grade LECTURER/DEMONSTRATORS Maurice Zarb Adami (Co-Ordinator) Ingrid Ross READING LIST Aulton, M. Pharmaceutics: The Science of Dosage Form Design. 2001. Churchill Livingstone. ISBN 0443055173 Gennaro, A. Remington: The Science and Practice of Pharmacy. 1997. Mack Publishing Company. (18th edition). ISBN 0912734051. *Pre-requisites: PHR 1301 and PHR 2304 70 Course Catalogue Year 2009-2010 UNIT CODE: PHR 3208 8/18/2010 UNIT TITLE: PHARMACOGNOSY AND NATURAL PRODUCTS TYPE Lectures NUMBER OF ECTSCREDITS: 4 LEARNING OBJECTIVES To impart biological, biochemical and agronomic background information relating to natural drugs and to introduce the student to the locally available crude drugs. CONTENT An introduction to the history of the utilization of medicinal plants The principles and applications of Ethnobotany and Ethnopharmacology A comprehensive introduction to secondary metabolites mainly terpenoids, alkaloids flavonoids, tannins, coumarins, glycosides In vitro and in vivo testing of secondary metabolites from Plants Phytomedicines used in Modern Therapies Alternative medicine: Herbal Medicine, Aromatherapy, Apitherapy and Homeopathy Nutraceuticals Legislation: Medicine or Food? Poisonous Plants ASSESSMENT Written test of 1 hour Assignment 60% 40% RESULT Percentage mark and grade LECTURERS Maurice Zarb Adami (Co-ordinator) Everaldo Attard READING LIST HEINRICH, BARNES, GIBBONS, WILLIAMSON. Fundamentals of Pharmacognosy and Phytotherapy, Churchill Livingstone, London 2003 LECTURE NOTES: http://staff.um.edu.mt/eatt1/pharmacy.html 71 Course Catalogue Year 2009-2010 UNIT CODE: PHR 3306* 8/18/2010 UNIT TITLE: PHARMACEUTICS III TYPE Lectures, Practicals, Tutorials NUMBER OF ECTS CREDITS: 4 LEARNING OBJECTIVES To describe tablet and capsule formulation and manufacturing processes needed to produce tablets and capsules of high standard in accordance with the specifications laid down by the BP, USP etc. Problems arising during manufacture and storage will be discussed. To highlight value of the dissolution test as a method of tablet quality control, including the effect of various formulation and processing parameters on the dissolution of tablets. The students will learn the effect of various formulation and processing parameters on the dissolution of tablets. The unit will also introduce the student to the rationale behind pharmaceutical quality assurance. To introduce Good Manufacturing Practice Principles. CONTENT Tablet and Capsule Manufacturing Tablet formulation: diluents, adsorbants, binding agents, disintegrants, colouring and flavouring Granulation: dry granulation, slugging, moist granulation, granule drying, lubricants and glidants Tablet design: route of administration, dose uniformity, stability and storage, acceptability, excipients, interactions Compressed tablets: types of tablets, manufacture of tablets - direct compression, problems associated with the manufacture of tablets, tablet strength, capping, prevention of capping, tablet standards - Pharmacopoeial considerations Coating: reasons for coating tablets, sugar coating, problems of sugar coating, film coating, problems associated with film coating, fluid bed coating, sustained release coating, enteric coating Capsules: raw material, hard gelatin capsules, soft gelatin capsules, advantages of soft gelatin capsules, formulation, bioavailability aspect, packaging techniques Dissolution and Quality Control Physical process of dissolution, Fick’s laws, mathematical description of dissolution, test parameters. Effect of processing parameters (compression, mixing, coating) and formulation parameters (diluents, glidants, disintegrants) on tablet dissolution. Introducing Good Manufacturing Practice: The importance of Quality Control and Quality assurance in the pharmaceutical industry. A site visit to a pharmaceutical company. Practical sessions in the pharmaceutical industry ASSESSMENT Written test of 2 hours held at the end of the second semester. RESULT Percentage mark and grade LECTURERS Maurice Zarb-Adami (Co-ordinator) Edwina Brejza READING LIST 72 Course Catalogue Year 2009-2010 8/18/2010 The British Pharmacopoeia Vols I & II. The Stationery Office. ISBN 0113222580. European Department for the Quality of Medicines, Council of Europe. The European Pharmacopoeia 3rd edition. 1996. ISBN 9287129916. Lund W. The Pharmaceutical Codex: Principles and Practice of Pharmaceutics. 1994: Pharmaceutical Press (12th edition) ISBN 0853692904. British Medical Association and Royal Pharmaceutical Society of Great Britain. The British National Formulary, No. 45. 2003. Pharmaceutical Press: London. ISBN 0853695555. Sweetman SC. Martindale: The Complete Drug Reference. London: Pharmaceutical Press. Latest Edition. Collett, D., Aulton, M. Pharmaceutical Practice. 1998. Churchill Livingstone. ISBN 044305729X. Gennaro, A. Remington: The Science and Practice of Pharmacy. 1997. Mack Publishing Company. (18th edition). ISBN 0912734051. Martin, A., Bustamente, P., Chun A.H.C. Physical Pharmacy: Physical Chemical Principles in the Pharmaceutical Sciences. 1993. Lea & Febiger. (4th edition). ISBN 0812114388. Aulton, M. Pharmaceutics: The Science of Dosage Form Design. 2001. Churchill Livingstone. ISBN 0443055173. * Pre-requisites: PHR 1301 and PHR 2304. 73 Course Catalogue Year 2009-2010 UNIT CODE: PHR3340 8/18/2010 UNIT TITLE: PHARMACOECONOMICS AND MANAGEMENT IN PHARMACY TYPE Lectures and Seminars NUMBER OF ECTS CREDITS: 2 LEARNING OBJECTIVES To obtain an appreciation of the impact of medication costs on the financial resources of the patient and of the country. To understand the role of management in the efficient provision of pharmacy services, and the tools that can be used to achieve such efficiency. CONTENT The impact of disease on the patient, the family, society, the economy and the state. Basic concepts of economics as applied to health in general and to pharmaceuticals in particular. The major pharmacoeconomic tests that are available to determine the efficiency, utility of and benefits arising from the use of different medicines and how these can be minimised. The requirement of regulation in pharmaceutical production, marketing and dispensing, and the effect that this has on the cost of therapy. The pharmacoeconomic factors that need to be taken into account along with factors of other nature when establishing treatment protocols in particular circumstances. Requirements for running efficient pharmacy services both in the community and in hospitals. The link between medicines management and clinical governance, risk management, forming effective relationships between primary and secondary care and improving financial planning. ASSESSMENT Written test of two hours RESULT Percentage mark and grade LECTURERS/DEMONSTRATORS Maurice Zarb Adami, Lilian Wismayer, Pierre Fava READING LIST Kayne SB. Ed. Pharmacy Business Management. London: Pharmaceutical Press, 2005 (ISBN: 978 0 85369 563 9) 74 Course Catalogue Year 2009-2010 UNIT CODE: CPH 3011* 8/18/2010 UNIT TITLE: PHARMACOLOGY D TYPE Lectures and seminars NUMBER OF ECTS CREDITS: 4 LEARNING OBJECTICES i. to understand the basic pharmacology and mode of action of drugs used in immunopharmacology, oncology and hormones ii. to present an overview of the molecular pharmacology of specific drugs, and to discuss the molecular-based research methodology and tools. CONTENT Cell differentiation and Antigen presenting cells Immune defence mechanisms: T cells and B cells Cytokines and Methods of immunosuppression Basic principles of chemotherapy and drugs used in oncology Oral and injectable hypoglycaemic agents Thyroid hormones Male and female sex hormones, contraceptives, HRT Vitamin D and parathyroid hormone and Calcitonin Recombinant drugs and Gene therapy Bioinformatics, online databases, data mining Specific receptor subtypes e.g. opioid receptors, histamine receptors, insulin receptor, cytokine receptors Molecular modes of action of enzyme modifiers e.g. COX-inhibitors, cholinesterase inhibitors Molecular aspects of discovery of novel drugs and drug targets: The Human Genome database Research tools for studying pharmacological actions and pathways: overview of laboratory tools including PCR, electrophoresis, sequencing, genotyping, molecular cloning, cell culturing, transfections, expression analysis, microarray technology, transgenic animals ASSESSMENT Written test of 2 hours held at end of study unit. RESULT Percentage mark and grade LECTURERS Roger Ellul Micallef J J Borg Frederick Fenech Janet Mifsud Anthony Fenech Mark Micallef READING LIST Shargel and Yu. Applied Biopharmaceutics. McGraw-Hill Brody, Larner, Minneman. Human Pharmacology - Molecular to Clinical. Mosby, Hardman, Limbird, Molinoff, Rudden and Gilman (Eds). Goodman and Gilman's The Pharmacological Basis of Therapeutics, Pergamon Press. Laurence And Bennett. Clinical Pharmacology. Churchill Livingston Rang, Dale and Ritter. Pharmacology. Churchill Livingstone. Rowland and Tozer. Clinical Pharmacokinetics: concepts and applications. Lippincott, Williams & Wilkins. * Pre-requisites: CPH 2010, CPH 2011 and CPH 3010 75 Course Catalogue Year 2009-2010 UNIT CODE: CHE 3141 8/18/2010 UNIT TITLE: SEPARATION TECHNIQUES TYPE Lectures NUMBER OF ECTS: 2 LEARNING OBJECTIVES Identify traditional and modern methods of separation Distinguish between techniques for analysis and preparation Apply the techniques for qualitative and quantitative purposes Be able to select the appropriate technique for specific pharmaceutical laboratory measurements CONTENT Principles and Introduction: Solvent Extraction, Column Chromatography Partition and Absorption; Thin Layer and Paper; Ion Exchange Chromatography. Gas Chromatography: Separation efficiency and resolution; Instrumentation Columns and stationary phases; Universal detectors; Applications. Liquid Chromatography: Instrumentation; The mobile phase; Columns and stationary phases; Universal detectors; Applications. ASSESSMENT 85 % Examination 15 % Progress Test LECTURER Claire Shoemake (Co-ordinator) George Peplow READING LIST (recommended) Analytical Chemistry - Approved Text to the Federation of European Chemical Society Curriculum Society Curriculum, Ed. Robert Kellner. Pub l: Wiley-VCH (1998). Analytical Chemistry by Gray D. Christian 5th Edn., Wiley (1994). Supplementary reading Analytical Chemistry by Douglas A Skoog and Donald M West. 6th Edn. 76 Course Catalogue Year 2009-2010 8/18/2010 UNIT CODE: PAT 3322 UNIT TITLE: GENERAL AND PHARMACEUTICAL MICROBIOLOGY III TYPE: Lectures NUMBER OF ECTS : 4 PRE-REQUISITE General and Pharmaceutical Microbiology I and II ASSESSMENT Written, at the end of the first semester RESULT Percentage mark and grade LECTURERS Prof. Paul Cuschieri (PVC) Dr. Christopher Barbara (CB) Dr Michael A. Borg (MB) This study covers: Immunisation (Bacterial Preparations) – Prof. Paul Cuschieri (PVC) Immunisation (Viral Preparations) – Dr Christopher Barbara (CB) Infection control – Dr Michael A. Borg (MB) Description Lectures: Invasive pneumococcal disease and pneumococcal vaccines Typhoid and typhoid vaccines Meningococcal disease and meningococcal vaccines Invasive Haemophilus influenzae capsular type b infections and HIB vaccines Diphtheria and diphtheria toxoid preparations Tetanus and tetanus toxoid preparations Whooping cough and Bordetella pertussis vaccines The routine immunisation schedule Hepatitis A vaccine Hepatitis B vaccine Measles vaccines Mumps vaccines Rubella vaccines Principles of transmission of infectious diseases Infection control – methods and cost effectiveness Hand hygiene Multiresistant organisms and their control Prevention of multiresistance & judicious use of antibiotics in hospitals Prevention of travel associated infections LEARNING OBJECTIVES To continue to deal with systematic microbiology where the biological characteristics of the major genera and species are described, together with the clinical infections that these organisms cause. To describe the theoretical and practical aspects of active and passive immunisation against infectious diseases. Particular attention will be paid to locally endemic infections and to vaccination programmes. The basic principles of infection control in the hospital setting are also covered. 77 Course Catalogue Year 2009-2010 Reading List 8/18/2010 Recommended Textbooks: th Medical Microbiology by David Greenwood et al; 17 Ed. 2007, ISBN04443102090, Churchill Livingstone Lectures: Invasive pneumococcal disease and pneumococcal vaccines (2 lectures, PVC) Typhoid and typhoid vaccines (2 lectures, PVC) Meningococcal disease and meningococcal vaccines (2 lectures, PVC) Invasive Haemophilus influenzae capsular type b infections and HIB vaccines (1 lecture, PVC) Diphtheria and diphtheria toxoid preparations (2 lectures, PVC) Tetanus and tetanus toxoid preparations (2 lectures, PVC) Whooping cough and Bordetella pertussis vaccines (2 lectures, PVC) The routine immunisation schedule (1 lecture, PVC) Hepatitis A vaccine (1 lecture, CB) Hepatitis B vaccine (1 lecture, CB) Measles vaccines (1 lecture, CB) Mumps vaccines (1 lecture, CB) Rubella vaccines (1 lecture, CB) Principles of transmission of infectious diseases (1 lecture, MA) Infection control – methods and cost effectiveness (1 lecture, MA) Hand hygiene (1 lecture, MA) Multiresistant organisms and their control (1 lecture, MA) Prevention of multiresistance & judicious use of antibiotics in hospitals (1 lecture, MA) Prevention of travel associated infections (1 lecture, MA) 78 Course Catalogue Year 2009-2010 UNIT CODE: CPH 3010* 8/18/2010 UNIT TITLE: PHARMACOLOGY C TYPE Lectures and seminars NUMBER OF ECTS: 4 LEARNING OBJECTIVES I. To understand the disposition of drugs in the body and the effects of drug metabolising enzymes, and organ clearance mechanisms in PK/PD II. To understand the basic pharmacology and mode of action of drugs used to treat neurological and respiratory disorders; pharmacology of steroids CONTENT Multi compartment models Metabolism and biotransformation : Phase I and phase II reactions Physiological models in pharmacokinetics: Hepatic and renal clearance Pharmacokinetic principles in oral multiple dosage drug regimens Infusion drug regimens pharmacokinetics Basic principles in epilepsy and classification in epilepsy Traditional antiepileptic drugs and new antiepileptic drugs Pharmacokinetic principles in prescribing antiepileptic drugs Drugs used in other chronic neurological and movement disorders; Parkinson’s disease and Alzheimer’s disease Drugs affecting the Nitric Oxide pathways Inflammatory processes in asthma Drugs used in asthma: beta-adrenergic receptor agonists, anticholinergic agents, methylxanthines, antileukotriene agents Drugs used in allergies Glucocorticoids: models of action at cellular level, regulation of synthesis, Structure activity relationships, adverse effects ASSESSMENT Written test of 2 hours held at end of study unit. RESULT Percentage mark and grade LECTURERS Roger Ellul-Micallef Anthony Fenech Janet Mifsud Charles Scerri READING LIST Brody, Larner, Minneman. Human Pharmacology - Molecular to Clinical. Mosby, Hardman, Limbird, Molinoff, Rudden and Gilman (Eds). Goodman and Gilman's The Pharmacological Basis of Therapeutics, Pergamon Press. Laurence and Bennett. Clinical Pharmacology. Churchill Livingston Rang, Dale and Ritter. Pharmacology. Churchill Livingstone. Rowland and Tozer. Clinical Pharmacokinetics: concepts and applications. Lippincott, Williams & Wilkins. Shargel and Yu. Applied Biopharmaceutics. McGraw-Hill. * Pre-requisites: CPH 2010 and CPH 2011. 79 Course Catalogue Year 2009-2010 UNIT NO: PHR 3030 8/18/2010 UNIT TITLE: TOTAL QUALITY SYSTEMS I TYPE Lectures NUMBER OF ECTS: 2 LEARNING OBJECTIVES To provide the student with the ability to formulate strategies for assessing the performance of processes and the conformance of food to specifications and legislation and to contribute directly to quality assurance to ensure that production of food conforms with legal requirements. On successful completion the student will be able to participate in the development and management of quality assurance systems in the food industry; assess the value of the various techniques used in quality assurance; participate in the application of total quality systems; and establish appropriate controls for assessing the conformance of products to specifications and the performance of production processes. CONTENT Introduction to quality control- Definition of quality, Inspection, Quality Assurance, Quality Control, Design Requirements, Correction of Quality Deficiencies, Quality Data, Quality Audits, Total Quality Management. Cost of Quality- Quality Costs, Minimum Overall Cost, Zero Defects, Manufacturing Cost & Quality, Customer Service. Quality of Design- Quality of Manufactured Part, Quality of Design, Quality of Conformance, Designers' Responsibility for Quality, Variable and Attributes, Routine Checking of Inspection & Test Equipment, NonVisual Standards, Critical, Major & minor Defects. Control of Incoming Material- Vendor Appraisal, Principles of Material Control, Buying Specifications, Sources of Supply, Quality Audits. ASSESSMENT Written test of 1 hour held at the end of the second semester LECTURERS Claire Shoemake (Co-ordinator) Stephen Ferrito 80 Course Catalogue Year 2009-2010 UNIT CODE: PAT 3324 TYPE 8/18/2010 UNIT TITLE: ANTIMICROBIAL CHEMOTHERAPY I Lectures NUMBER OF ECTS CREDITS 2 PREREQUISITES PAT1322, PAT2322 and PAT3322 ASSESSMENT Written, at the end of the second semester RESULT Percentage mark and grade LECTURERS Prof. Paul Cuschieri (PVC) Dr Paul Caruana (PFC) DESCRIPTION This study unit covers Antibiotics. Coordinator Lectures: Introduction: definitions; historical perspectives; properties of therapeutically useful antibiotics; classification of antibiotics Drug combinations, isobolograms Fusidanes Nitroimidazoles – metronidazole Sulphonamides and the diaminopyrimidines Aminoglycosides Lincosamides Macrolides Tetracyclines Chloramphenicol LEARNING OBJECTIVES These credits are intended to outline the properties of the major groups of antimicrobial agents on key drugs, discuss their indications, understand antibiotic selectivity by identifying enzymes, modes of action and apply the principles underlying their correct usage in treatment and prophylaxis. Recommended Textbooks: READING LIST th Medical Microbiology by David Greenwood et al; 17 Ed. 2007, ISBN04443102090, Churchill Livingstone Goodman and Gillman's The Pharmacological Basis of Therapeutics th Laurence L. Brunton et al, 11 Ed, 2006 ISBN 0071422803 Lectures: Introduction: definitions; historical perspectives; the development of antibiotics; sources of naturally occurring compounds; the concept of selective toxicity; properties of therapeutically useful antibiotics; microbicidal and microbistatic effects; classification of antibiotics; competitive and non-competitive inhibition; lethal synthesis (2 lectures, PVC) 81 Course Catalogue Year 2009-2010 8/18/2010 Drug combinations, isobolograms (1 lecture, PVC) Fusidanes (1 lecture, PVC) Nitroimidazoles – metronidazole (2 lectures, PVC) Sulphonamides and the diaminopyrimidines (2 lectures, PVC) Aminoglycosides (3 lectures, PFC) Lincosamides (1 lecture, PFC) Macrolides (2 lectures, PFC) Tetracyclines (1 lecture, PFC) Chloramphenicol (1 lecture, PFC) 82